Individual
MR. ONYEBUCHI OGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
859 WILLARD ST STE 400, QUINCY, MA 02169-7469
(339) 502-0871
Mailing address
72 KILBURN ST, NEW BEDFORD, MA 02740-7321
(339) 502-0871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2274351
MA
Other
Enumeration date
10/27/2019
Last updated
11/15/2021
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